Department of Surgery, Jikei University Kashiwa Hospital, 163-1 Kashiwashita, Kashiwa, Chiba 277-8567, Japan.
Surg Today. 2009;39(10):844-7. doi: 10.1007/s00595-009-3965-1. Epub 2009 Sep 27.
Video-assisted thoracic surgery (VATS) has recently been adopted for complicated anatomical lung resections. During these thoracoscopic procedures, surgeons view the operative field on a two-dimensional (2-D) video monitor and cannot palpate the organ directly, thus frequently encountering anatomical difficulties. This study aimed to estimate the usefulness of preoperative three-dimensional (3-D) imaging of thoracic organs.
We compared the preoperative 64-row three-dimensional multidetector computed tomography (3DMDCT) findings of lung cancer-affected thoracic organs to the operative findings.
In comparison to the operative findings, the branches of pulmonary arteries, veins, and bronchi were well defined in the 3D-MDCT images of 27 patients.
3D-MDCT imaging is useful for preoperatively understanding the individual thoracic anatomy in lung cancer surgery. This modality can therefore contribute to safer anatomical pulmonary operations, especially in VATS.
电视辅助胸腔镜手术（VATS）最近已被用于复杂的解剖性肺切除术。在这些胸腔镜手术中，外科医生通过二维（2-D）视频监视器观察手术区域，无法直接触诊器官，因此经常遇到解剖困难。本研究旨在评估术前三维（3-D）胸部器官成像的有用性。
我们比较了 27 例肺癌患者的胸部器官 64 排三维多排 CT（3DMDCT）的术前检查结果与手术结果。
与手术结果相比，27 例患者的 3D-MDCT 图像中肺动静脉和支气管分支显示良好。
3D-MDCT 成像有助于术前了解肺癌手术中的个体胸部解剖结构。因此，该方法有助于更安全的解剖性肺手术，尤其是在 VATS 中。
